Abstract

Although research indicates that social determinants impact minority health, there remains a dearth of knowledge on how economically disadvantaged communities perceive the effects of poverty stigmatization, community disorder, and feelings of unsafety on their health status. This qualitative study used community-based participatory research methods to explore how minority residents (n=23) from an urban neighborhood of concentrated poverty perceived the impact of residential and environmental factors on their health. Thematic analysis highlighted how the combination of high crime rates and community disorder negatively affected residents’ ability to maintain a healthy lifestyle due to increased levels of stress and decreased access to health resources. Additionally, perceptions of stigmatization and feelings of unsafety adversely impacted levels of community connectedness and collective efficacy and prevented efforts to improve their individual and neighborhood health conditions.

Highlights

  • Scholars, practitioners, and policymakers recognize that factors influencing the health status of economically disadvantaged minority communities span beyond the impact of healthcare systems

  • Research indicates that social determinants impact minority health, there remains a dearth of knowledge on how economically disadvantaged communities perceive the effects of poverty stigmatization, community disorder, and feelings of unsafety on their health status

  • The community is Community-Based Participatory Research: How Residents of a Small LowIncome Racially Homogenous Disadvantaged Neighborhood Perceive the E ects of Poverty Stigma, Community Disorder, & Feelings of Unsafety on Health isolated from the rest of the city by highways and has limited access to grocery stores, restaurants, and recreational spaces

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Summary

Introduction

Practitioners, and policymakers recognize that factors influencing the health status of economically disadvantaged minority communities span beyond the impact of healthcare systems. A significant amount of research has been done on the social determinants of health (Braveman & Gottlieb, 2014; Marmot, Friel, Bell, Houweling, & Taylor, 2008; Raphael, 2006; Wilkinson & Marmot, 2003), it lacks inquiry into the effects of poverty stigma, community disorder, and feelings of unsafety on health outcomes, from the perspectives of those experiencing such social problems first-hand This qualitative study employs community-based participatory research to better understand the lived experiences of residents from “The Vicinity,” a population of 4,500 residing in approximately 1.3 square miles within an urban area in central Florida (U.S Census Bureau, 2017). The Vicinity has experienced many of the same issues as other urban African American communities, such as disenfranchisement, disruption, and violence, drug distribution and street violence (U.S Census Bureau, 2017)

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